| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
728 |
727 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
868 |
836 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,212 |
1,143 |
$1K |
| 92551 |
|
544 |
542 |
$433.94 |
| 90658 |
|
186 |
185 |
$387.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$310.15 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
37 |
$235.80 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$229.40 |
| 99173 |
|
219 |
219 |
$56.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$26.76 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
65 |
65 |
$0.00 |
| 97802 |
|
602 |
602 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
101 |
101 |
$0.00 |
| 92081 |
|
328 |
328 |
$0.00 |